Evidence map›Paper›PMID 37008196›Full record

ReviewLancet regional health. Americas2023

Face-to-face with scorching wildfire: potential toxicant exposure and the health risks of smoke for wildland firefighters at the wildland-urban interface.

Jooyeon Hwang, Ngee-Sing Chong, Mengliang Zhang, Robert J Agnew, Chao Xu, Zhuangjie Li, Xin Xu

Open access · goldAbstract readReview
In one paragraph

Review in Lancet regional health. Americas, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
17.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Review
  6. Priority research directions for wildfire science: views from a historically fire-prone and an emerging fire-prone country.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Article
  7. Determinants of Health and Performance in Wildland Firefighters: A Narrative Review.Journal of functional morphology and kinesiology · 2025
    Review
  8. Article
  9. Repeated exposure to eucalyptus wood smoke alters pulmonary gene and metabolic profiles in male Long-Evans rats.Toxicological sciences : an official journal of the Society of Toxicology · 2024
    Article
  10. Article
  11. Review
  12. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 2 countries.

Jooyeon HwangDepartment of Occupational and Environmental Health, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Ngee-Sing ChongDepartment of Chemistry, Middle Tennessee State University, Murfreesboro, TN 37132, USA.
Mengliang ZhangDepartment of Chemistry, Middle Tennessee State University, Murfreesboro, TN 37132, USA.
Robert J AgnewFire Protection & Safety Engineering Technology Program, College of Engineering, Architecture and Technology, Oklahoma State University, Stillwater, OK 74078, USA.
Chao XuDepartment of Biostatistics and Epidemiology, Hudson College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA.
Zhuangjie LiDepartment of Chemistry and Biochemistry, California State University at Fullerton, Fullerton, CA 92831, USA.
Xin XuShanghai Anti-doping Laboratory, Shanghai University of Sport, Shanghai 200438, China.
Middle Tennessee State University · USUniversity of Oklahoma Health Sciences Center · USCalifornia State University, Fullerton · USOklahoma State University · USShanghai University of Sport · CN

Funding

Tissue Pathology Shared ResourceP30CA225520 · NCI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI Michael S. Businelle · 2018 to 2026
$27.1M
Effects of residual PAH exposure from firefighters' turnout gear on plasma microRNA expressionK01OH011891 · OH · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI HWANG, JOOYEON · 2020 to 2022
$432k
NCI NIH HHS P30 CA225520NIOSH CDC HHS K01 OH011891NIOSH CDC HHS T42 OH008421
6 · The paper itself

Abstract

As wildfire risks have elevated due to climate change, the health risks that toxicants from fire smoke pose to wildland firefighters have been exacerbated. Recently, the International Agency for Research on Cancer (IARC) has reclassified wildland firefighters' occupational exposure as carcinogenic to humans (Group 1). Wildfire smoke contributes to an increased risk of cancer and cardiovascular disease, yet wildland firefighters have inadequate respiratory protection. The economic cost of wildland fires has risen concurrently, as illustrated by the appropriation of $45 billion for wildfire management over FYs 2011-2020 by the U.S. Congress. Occupational epidemiological studies of wildland firefighters are crucial for minimizing health risks; however, they must account for the mixture of exposures in wildfire smoke. This review focuses on four aspects of wildland firefighters' health risks at the wildland-urban interface: 1) economic costs and health impact, 2) respiratory protection, 3) multipollutant mixtures, and 4) proactive management of wildfires.

Indexed as

Exposure assessmentFirefighterMulti-pollutant mixtures of fire smokeOccupational and environmental healthPrescribed burnWildfireWildland-urban interface (WUI)

Identifiers

PMID37008196
PMCPMC10060103
OpenAlexW4361029377

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.